MARY T HOME HEALTH INC NPI 1346487238

NPI Information

  • NPI: 1346487238
  • Provider Name: MARY T HOME HEALTH INC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: MARY T HOME HEALTH - HOSPICE
  • CLIA Number: 24D0908505
  • Address: 299 COON RAPIDS BLVD NW STE 204
    COON RAPIDS, MN
    ZIP 55433
  • Phone: (763) 772-9963

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NPI Details

MARY T HOME HEALTH INC is a hospice care community based in Coon Rapids, MN. MARY T HOME HEALTH INC NPI is 1346487238. The provider is registered as an organization entity type.
The provider Is Doing Business As Mary T Home Health - Hospice.

The provider's business location address is:

299 COON RAPIDS BLVD NW STE 204
COON RAPIDS, MN
ZIP 55433-870
Phone: (763) 772-9963
Fax: (763) 772-9962

The provider's authorized official is Jason Tjosvold .
The authorized official title is Cao and has the following contact phone number (763) 567-8951.

The CLIA number assigned to this NPI record is 24D0908505 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 6/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community Based379633MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1379633OTHERMINNESOTASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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